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About Your Privacy

Crittenden Care Services, LLC's Notice of Privacy Practices | Effective February 1, 2013


The terms of this Notice of Privacy Practices apply to Crittenden Care Services, LLC ("CCS") and each of its subsidiaries, affiliates, and entities managed or controlled by CCS, including the corporate office and its employees. All of the entities will share personal health information of patients as necessary to carry out treatment, payment, and health care operations as permitted by law.

We are required by law to maintain the privacy of our patients' personal health information and to provide patients with notice of our legal duties and privacy practices with respect to personal health information. We are required to abide by the terms of this Notice for as long as it remains in effect. We reserve the right to change the terms of this Notice of Privacy Practices as necessary and to make a new Notice effective for all personal health information maintained by CCS. We are also required to inform you that there may be a provision of State law that relates to the privacy of your health information that may be more stringent than a standard or requirement under the Federal Health Insurance Portability and Accountability Act. A copy of any revised Notice of Privacy Practices or information pertaining to a specific State law may be obtained by mailing a request to the Privacy Officer, Crittenden Care Services, LLC, 718 East Broadway
, West Memphis, AR 72301


Authorization and Consent: Except as outlined below, we will not use or disclose your personal health information for any purpose other than treatment, payment or health care operations unless you have signed a form authorizing the use or disclosure. You have the right to revoke that authorization in writing unless we have taken any action in reliance on the authorization.

Uses and Disclosures for Treatment: With your agreement, we will make uses and disclosures of your personal health information as necessary for your treatment. Doctors and nurses and other professionals involved in your care will use information in your medical record and information that you provide about your symptoms and reactions to your course of treatment that may include procedures, medications, tests, medical history etc.

Uses and Disclosures for Payment: With your agreement, we will make uses and disclosures of your personal health information as necessary for payment purposes. During the normal course of business operations, we may forward information regarding your medical procedures and treatment to your insurance company to arrange payment for the services provided to you. We may use your information to prepare a bill to send to you or to the person responsible for your payment.

Uses and Disclosures for Health Care Operations: With your agreement, we will use and disclose your personal health information as necessary, and as permitted by law, for our health care operations, which may include clinical improvement, professional peer review, business management, accreditation and licensing, etc. For instance, we may use and disclose your personal health information for purposes of improving the clinical treatment and patient care.

Individuals Involved In Your Care: With your written agreement we may from time to time disclose your personal health information to designated family, friends, and others who are involved in your care or in payment of your care in order to facilitate that person's involvement in caring for you or paying for your care. If you are unavailable, incapacitated, or facing an emergency medical situation and we determine that a limited disclosure may be in your best interest, we may share limited personal health information with involved individuals without your approval. We may also disclose limited personal health information to a public or private entity that is authorized to assist in disaster relief efforts in order for that entity to locate a family member or other persons that may be involved in some aspect of caring for you.

Business Associates: Certain aspects and components of our services are performed through contracts with outside persons or organizations, such as auditing, accreditation, outcomes data collection, legal services, etc. At times it may be necessary for us to provide your personal health information to one or more of these outside persons or organizations who assist us with our health care operations. In all cases, we require these business associates to appropriately safeguard the privacy of your information.

Appointments and Services: We may contact you to provide appointment reminders or information about your treatment or other health-related benefits and services that may be of interest to you. You have the right to request and we will accommodate reasonable requests by you to receive communications regarding your personal health information from us by alternative means or at alternative locations. For instance, if you wish appointment reminders to not be left on voice mail or sent to a particular address, we will accommodate reasonable requests. You also have the right to request that we not send you any future marketing materials and we will use our best efforts to honor such request. You may make your requests by sending your name and address to Privacy Officer, 718 East Broadway
, West Memphis, AR 72301.

Research: In limited circumstances, we may use and disclose your personal health information for research purposes. In all cases where your specific authorization is not obtained, your privacy will be protected by strict confidentiality requirements applied by an Institutional review board which oversees the research or by representations of the researchers that limit their use and disclosure of patient information.

Other Uses and Disclosures: We are permitted and/or required by law to make certain other uses and disclosures of your personal health information without your consent or authorization for the following:

  • any purpose required by law.
  • public health activities, such as required reporting of disease, injury, birth and death, or required public health investigations.
  • if we suspect child abuse or neglect; if we believe you to be a victim of abuse, neglect, or domestic violence.
  • to the Food and Drug Administration to report adverse events, product defects, or to participate in product recalls.
  • to your employer when we have provided health care to you at the request of your employer;
  • to a government oversight agency conducting audits, investigations, or civil or criminal proceedings.
  • court or administrative ordered subpoena or discovery request;
  • to law enforcement officials as required by law to report wounds and injuries and crimes;
  • to coroners and/or funeral directors consistent with law;
  • if necessary to arrange an organ or tissue donation from you or a transplant for you;
  • if you are a member of the military; we may also release your personal health information for national security or intelligence activities;
  • to workers' compensation agencies for workers' compensation benefit determination.


Access to Your Personal Health Information: You have the right to copy and/or inspect much of the personal health information that we retain on your behalf. All requests for access must be made in writing and signed by you or your legal representative. You may obtain a "Patient Access to Health Information Form" from the front office person.

Amendments to Your Personal Health Information: You have the right to request in writing that personal health information that we maintain about you be amended or corrected. We are not obligated to make all requested amendments but will give each request careful consideration. All amendment requests, must be in writing, signed by you or your legal representative, and must state the reasons for the amendment/correction request. If an amendment or correction request is made, we may notify others who work with us if we believe that such notification is necessary. You may obtain an "Amendment Request Form" from the front office person or individual responsible for medical records.

Accounting for Disclosures of Your Personal Health Information: You have the right to receive an accounting of certain disclosures made by us of your personal health information after February 1, 2013. Requests must be made in writing and signed by you or your legal representative. "Accounting Request Forms" are available from the front office person or individual responsible for medical records. The first accounting in any 12-month period is free; you will be charged a fee for each sub sequent accounting you request within the same 12-month period. You will be notified of the fee at the time of your request.

Restrictions on Use and Disclosure of Your Personal Health Information: You have the right to request restrictions on uses and disclosures of your personal health information for treatment, payment, or health care operations. We are not required to agree to your restriction request, but will attempt to accommodate reasonable requests when appropriate. We retain the right to terminate an agreed-to restriction if we believe such termination is appropriate. In the event of a termination by us, we will notify you of such termination. You also have the right to terminate, in writing or orally, any agreed-to restriction by sending such termination notice to the individual responsible for medical records.

Workers' Compensation: For patients whose medical treatment is covered under a state workers' compensation program, please note the following: Disclosure of your protected health information (PHI) for purposes of providing treatment and obtaining payment under the state's workers' compensation is governed by the state workers' compensation regulations and procedures. Therefore, we are not obligated to secure a written authorization as otherwise required by HIPAA in order to disclose your PHI for workers' compensation purposes, nor may you restrict our use or disclosure of your PHI for workers' compensation purposes. Written consent to use or disclose your PHI may be required pursuant to our internal policies and/or state workers' compensation program rules in order to process your claims. Failure to provide any required written consent may result in your financial liability for medical services and supplies.

Complaints: If you believe your privacy rights have been violated, you can file a complaint in writing with the Privacy Officer, Crittenden Care Services, LLC, 718 East Broadway
, West Memphis, AR 72301. You may also file a complaint with the Secretary of the U.S. Department of Health and Human Services in Washington D.C. in writing within 180 days of a violation of your rights. There will be no retaliation for filing a complaint.

FOR FURTHER INFORMATION:If you have questions or need further assistance regarding this Notice, you may contact the Privacy Officer, Crittenden Care Services, LLC, 718 East Broadway
, West Memphis, AR 72301.

Crittenden Care Services, LLC
Web Site Privacy Policy

Crittenden Care Services, LLC ("CCS," "we" or "us") takes your privacy seriously. In recognition of your concerns about the privacy of your personal information on the Internet and World Wide Web, we have developed this Privacy Policy to demonstrate our commitment to your privacy.

What this Privacy Policy Covers
This Privacy Policy covers CCS's treatment of personally identifiable information that we collect when you are on the Crittenden Care Services, LLC Website, including the websites of any Crittenden Care Services, LLC affiliate or subsidiary (collectively, the "Site"). This policy also covers CCS's treatment of any personally identifiable information that our business partners share with us or that we may collect on a partner's site.

This policy does not apply to the practices of companies that CCS does not own or control, or to people that CCS does not employ or manage.

The Information We Collect
We may collect personally identifiable information from you when you access our website or provide information to us through the Site. We also may collect certain information from visitors to the Site through the use of cookies, web logs, server logs, or any other program or device by which web site operators may collect limited personally identifiable information from users of our website.

We may collect contact information that you provide voluntarily. At various locations through the Site, there are links through which you can email us to request information or submit comments. We also may collect contact information so that we may send to you requested materials, information, and news about CCS and its affiliates.

Please note, no data transmission over the Internet is 100% secure. The contact information that you may submit to us is not encrypted, and therefore is susceptible to interception and viewing by third parties without your or our knowledge or consent. Although we make every effort to protect your personal information, we cannot guarantee the security of that information except while it is in our sole custody and control. Consequently, any Internet transmission of information is made at your own risk. If you prefer, you may contact us via telephone at the numbers identified on the Site.

Disclosure of Personal Information
We do not share any personal information that we have collected or that you may have provided to us through our website with any third parties, unless required to do so by legal, judicial, or governmental mandate.

CCS does not contract with any advertising or marketing agencies to sell or disseminate personal information obtained from you.

CCS does not contract with any advertising or marketing agencies to gather individual or group profile information from our visitors.

How We Keep Information Secure
Information security is one of our highest priorities. This priority is emphasized by our internal employee Code of Conduct, this Privacy Policy, and the contracts and agreements that we sign with external suppliers and partners. Employees who violate our policies and procedures regarding privacy are subject to disciplinary action, and our partners and suppliers are bound to uphold our procedures regarding privacy under the terms of our legal contracts with them. We safeguard information by regularly assessing security standards and procedures to protect against unauthorized access to personal information.

We limit access to personal information about you to those employees who need to know that information to maintain and improve our Site and to provide information that you request. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to protect your personal information.

Links to Other Websites
This Site contains links to other websites for your convenience. Many of those websites are for entities that are subsidiaries or affiliates of CCS. This Privacy Policy remains in effect when you visit those sites.

This Site also contains links to certain third-party websites for your convenience. CCS is not responsible for the privacy practices of those websites. We also are not responsible for the nature, quality or accuracy of the content or opinions expressed in such websites, and such websites are not investigated, monitored or checked for quality, accuracy, or completeness by us. Inclusion of any linked website on this Site does not imply or express an approval or endorsement of the linked website, or any of the content, opinions, products, or services provided on those websites. If you decide to leave this Site and access those third-party sites, you do so at your own risk.

Correcting, Updating, and Deleting Personal Information
At any time, you may request us to correct, update, or delete personal information that you have voluntarily submitted via email, web form, or similar transmission by submitting an email to us.

If you choose to delete your personal information from our records, we will delete your name and contact information from our records within a reasonable amount of time. You still may receive some information from us after the date that you submit your deletion request, but only because that information was prepared before your request was processed.

Notification of Changes
In the event that we decide to change any of the terms of this Privacy Policy, we will post those changes on our home page so our users are well aware of the information that we collect and how it is collected.

In the event that we decide to change the way that we use personally identifiable information, we will notify users via email, and provide users with a choice as to whether we use their information in this new manner.